Carmen Pittman

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OBJECTIVE The widespread use of antibiotics for treatment of acute otitis media (AOM) has resulted in the emergence of multidrug-resistant pathogens that are difficult to treat. However, it has been shown that most children with nonsevere AOM recover without ABX. The objective of this study was to evaluate the safety, efficacy, acceptability, and costs of a(More)
BACKGROUND Watchful waiting management of nonsevere acute otitis media (AOM) can reduce the use of antibiotics, but it requires a reliable means of assessing clinical severity. OBJECTIVE We present the development of a pocket AOM card with which the clinician can rapidly assess total AOM severity. DESIGN/METHODS The components of the pocket card(More)
Prior studies have shown that bullous myringitis (BM) accounts for <10% of acute otitis media (AOM) cases, and that the distribution of viral and bacterial pathogens in BM is similar to that in AOM without BM, except for a relative increase in the proportion of Streptococcus pneumoniae in BM. We studied 518 cases of AOM in children aged 6 months to 12(More)
BACKGROUND The traditional needs assessment used in developing continuing medical education programs typically relies on surveying physicians and tends to only capture perceived learning needs. Instead, using tools available in electronic medical record systems to perform a clinical audit on a physician's practice highlights physician-specific practice(More)
Have you ever wondered if a family physician can actually influence patients to adopt lifestyle changes? To find this out, we conducted a small project based in our family practice in Edmonton, Alta. The results might surprise you. In 2010, Dr Klein was preparing for a year’s sabbatical. Some of his patients expressed concern about his upcoming departure(More)
BACKGROUND HIV and hepatitis B virus (HBV) share transmission routes, and coinfection is associated with higher morbidity and mortality. To date, no Canadian studies have examined HIV-HBV coinfection. OBJECTIVES To examine the prevalence and correlates of HIV and HBV coinfections in Northern Alberta. METHODS The present study was a retrospective(More)
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